JUDITH L PETERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

JUDITH L

Last Name

PETERS

Suffix

Business Name

JUDITH L PETERS MD

Original Issue Date

02/03/1987

Effective Date

02/03/1987

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017